Organization
CLEAR MED PROVIDER GROUP
Active
Parent organization
CLEARFIELD HOSPITAL
Other names
Clear Med Mahaffey Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEARFIELD HOSPITAL
Authorized official
RITA V OLSZEWSKI (CLEAR MED ADMINISTRATOR)
(814) 768-2356
Entity
Organization
Contact information
Practice address
2772 CECIL HURD HWY, MAHAFFEY, PA 15757-6322
(814) 277-4504
(814) 277-6873
Mailing address
809 TURNPIKE AVE, CLEARFIELD, PA 16830-1232
(814) 768-2356
(814) 768-2134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD047546L
PA
207R00000X
Internal Medicine Physician
MD031136L
PA
261QH0100X
Health Service Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
MA051554
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001829615
—
PA
01
—
0166056
HIGHMARK
PA
Enumeration date
05/29/2009
Last updated
08/10/2010
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